
I Am A 43 Year Old Male, Morbidly Obese And

Please give details and post actual photographs.
Detailed Answer:
Hi.
Thanks for your query.
Noted your history well and understood the concerns.
Blotchy purple area on one foot for one month turning to red on using calf compression sock can be due t one of the following reasons:
Varicose veins being the commonest and due to obesity would be difficult to notice. Hence needs color doppler examination of the lower limb to ascertain.
Local skin problems; please sent focused and clear photos as these can help me a lot.
Reduced common salt intake can help to control hypertension.
Elevation of foot and leg above heart level in lying down position may help.
But it is better to stop local icing or so as these can cause problems with already changes skin conditions; do not apply anything locally.
Watch if calf compression sock is actually helping or worsening the skin condition.
I hope this answer helps you.
Awaiting for your feedback and clear, focused photos.
Dr T Chandrakant
General Surgeon


As discussed
Detailed Answer:
Thanks for the photo.
This looks to be due to varicose veins.
Please get the color doppler done.
Also get the blood tests, particularly for bleeding time, clotting time, prothrombine time, CBC with platelet count, just to be sure.
I hope this answer helps you.
Please give feedback once the investigations are done to be sure about a proper diagnosis so that a proper management can be planned.
Dr T Chandrakant

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